Wagih Abdelmalak Elsewafy, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A056248 Issued in CA

Practice address

23501 Cinema Dr Ste 200
Santa Clarita, CA 91355-5430

Phone

(661) 288-4800

Fax

(661) 254-3094

NPI assigned

Mar 7, 2007

Last updated

Jul 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Los Angeles County Department of Mental HealthGroup PAC ID 7416869896, 294 clinicians

Alma Family ServicesGroup PAC ID 8729114855, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alma Family Services

  • Community/Behavioral Health Agency
  • Pico Rivera, CA
  • NPI 1992834659
  Medicare reassignment Care Compare group NPD
• Los Angeles County Department of Mental Health

  dba GENESIS Countywide Older Adult Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
  • NPI 1083633929
  Medicare reassignment Care Compare group NPD
• Enki Health Services, Inc.

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1932230638
  Medicare reassignment NPD
• Alma Family Services

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1184067589
  NPD
• Alma Family Services

  • Community/Behavioral Health Agency
  • Huntington Park, CA
  • NPI 1700249893
  NPD
• Enki Health Services, Inc.

  • Community/Behavioral Health Agency
  • Commerce, CA
  • NPI 1366574188
  NPD
• Enki Health Services, Inc.

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1487785432
  NPD
• Los Angeles County Department of Mental Health

  dba Rio Hondo Centro De Bienestar

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntington Park, CA
  • NPI 1356636658
  NPD
• Los Angeles County Department of Mental Health

  dba Arcadia Mental Health Center-Full Service Partnership

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arcadia, CA
  • NPI 1902676075
  NPD
• Alma Family Services

  • Community/Behavioral Health Agency
  • Jurupa Valley, CA
  • NPI 1821590605
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1679604235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23501 CINEMA DRIVE",
            "address_2": "SUIT 200",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913555622",
            "telephone_number": "661-288-4800",
            "fax_number": "661-254-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23501 CINEMA DR STE 200",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913555430",
            "telephone_number": "661-288-4800",
            "fax_number": "661-254-3094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3924 Riverview Dr",
            "address_purpose": "LOCATION",
            "city": "Jurupa Valley",
            "state": "CA",
            "postal_code": "925096611",
            "country_code": "US",
            "telephone_number": "951-222-7840",
            "fax_number": "951-360-4195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELSEWAFY",
        "first_name": "WAGIH",
        "middle_name": "ABDELMALAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A56248",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A056248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elevated Behavioral Therapy Services, Inc.
• Elevated Performance Physical Therapy
• Elite Diagnostics Medical Corporation
• Elizabeth S. Fowler, M.a. CCC-SLP
• Amanda Ellis, CADC-CAS
• Kahira Embry
• Makenna Kai Emerick
• Lisa Marie Emmons, RPH
• Empathy Care Home Health Inc
• Megan Empero

• Psychiatry Physician in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.